Annals of Family Medicine

NOVEMBER 20, 2024

Objective: We describe the adoption, implementation, and impact on hemoglobin A1c of a primary-care-based Diabetes Navigator program that aimed to re-engage patients with uncontrolled diabetes into care. Navigator outreach time parallels that of a standard 15-minute clinic visit, on average.

Primary Care 130

Primary Care Diabetes Referral Integrated Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: In May 2023, Mayo Clinic implemented a revised screening tool to assess social determinants of health (SDOH) for its patients. Population Studied: 13 urban and rural primary care practices located across Mayo Clinic sites in Minnesota, Wisconsin, and Florida.

Primary Care 130

Primary Care Referral Routine Screenings Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To examine utilization of the screening, and prevalence of FI at two time points in a pediatric clinic an urban pediatric practice that has implemented universal FI screening and response. Conclusions The clinic has a high screening utilization, a high prevalence of FI, and high coding documentation.

Primary Care 130

Primary Care Screening Referral Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. Setting Family medicine clinics in an academic medical center in southcentral Pennsylvania. SHapley Additive exPlanations (SHAP) to identify the relative importance of factors.

Appointment 130

Appointment Primary Care DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

Primary Care 130

Primary Care Medical Behavioral Health Services Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context With buprenorphine prescribing restrictions lifted, primary care physicians (PCP) are frequently the first contact for patients who have opioid use disorder (OUD) and require treatment with buprenorphine. Study Design A behavioral health curriculum was designed for second year residents.

Education 130

Education Primary Care Physician Primary Care DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: We used information gathered from site visits and team meetings to understand how Compass Rose was being utilized across sites. Setting or Dataset: We used data from Epic on social needs screening and Compass Rose utilization. Of those patients with an episode (i.e.,

Referral 130

Referral Community Transportation Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Project ECHO (Extension for Community Healthcare Outcomes) is a virtually-delivered health professions education model, designed to improve patient care by enhancing primary care capacity in specialty topics. Conclusion The burden of rheumatic disease is rising.

Primary Care 130

Primary Care Management Diagnose Clinical Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Measures of handgrip strength are collected in primary care settings as a vital sign for the prevention of health conditions related to low muscle strength. However, before such measures can be considered in clinical settings, their test-retest reliability needs to be established.

Electronics 130

Electronics Primary Care Utilities Referral 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. These include minimizing resource utilization and decreasing the risk of complications associated with IV antibiotics such as diarrhea. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included.

Primary Care 130

Primary Care Complication Diagnosis Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130

Utilities Primary Care Finance Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting or Dataset A pretestposttest survey design was utilized to assess the intervention. Participants were surveyed on their experience with the course, self-rated knowledge, and confidence levels regarding the provision of primary and hormone care to and degree of experience with transgender and non-binary patients.

Education 130

Education Primary Care Provider Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

While not the ideal case, patients may be discharged alive from hospice for a number of reasons, including: patient revocation of care, improved prognosis, or transfer of care to a different facility or geographic area. Medicare routinely reviews U.S. Study Design: Secondary data analysis; quality research. metropolitan area.

Primary Care Physician 130

Primary Care Physician Utilities PCP PCP 130

Annals of Family Medicine

NOVEMBER 20, 2024

This makes determining HBPM accuracy of great clinical importance, but there is no established method of doing so in the office. Setting Kaye Edmonton Clinic Family Medicine Clinic and a hypertension research lab. Context Hypertension Canada recommends home blood pressure monitors (HBPM) for diagnosing and managing hypertension.

Hypertension 130

Hypertension Family Physician DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context Administrative activities, including work related to caring for individual patients and clinic administration, may play a substantial role in understanding changes to primary care workload. Results/Findings Information management is central to health care delivery, but often not valued or actively supported.

Primary Care 130

Primary Care Management Nurse Practitioner Family Physician 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Telehealth became an essential tool to assist care delivery in the outpatient primary care settings during the COVID-19 pandemic. Previous studies documented that the type of insurance coverage was associated with the likelihood of a patient receiving care through telehealth.

Telehealth 130

Telehealth Primary Care Finance Insurance 130

Annals of Family Medicine

MAY 27, 2025

PURPOSE We assessed the feasibility and acceptability of implementing a digital cognitive assessment (DCA) for Alzheimer disease and related dementias (ADRD) screening into primary care. We also assessed the prevalence of positive screens and measured diagnostic and care outcomes after a positive DCA result.

Primary Care 130

Primary Care Diagnosis Screening Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. However, little information exists on how to successfully implement these tools in the primary care setting.

Primary Care 130

Primary Care Consulting Telemedicine Chronic Condition 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To describe how primary care clinics have considered social needs in DM, and identify opportunities to support primary care clinics. Setting: Ambulatory clinics (e.g.,

Primary Care 130

Primary Care Diabetes Management Provider 130

Annals of Family Medicine

NOVEMBER 20, 2024

Successful implementation required the development of a scalable family history collection tool, the Genetic and Wellness Assessment (GWA) and Breast Health Assessment (BHA) tools; integrated pharmacogenomics programming; educational programming; electronic medical record integration; and robust clinical decision support tools.

Community 130

Community Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

JANUARY 27, 2025

Still, it is estimated that only 4% of primary care patients are screened for depression. CONCLUSIONS Machine learning has potential utility in helping clinicians screen patients for moderate to severe depression. 95% CI, 69.0-73.5) and a specificity of 73.5 (95% 95% CI, 71.5-75.5).

Primary Care 130

Primary Care Screening Mental Health Utilities 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Continuity of care between a patient and their primary care practitioner (PCP) is a cornerstone of primary care (PC) and is associated with many positive health outcomes. Many proposed methods for measuring continuity utilize an aggregation of patient visits.

PCP 130

PCP PCP Finance Nurse Practitioner 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Most diagnostic tests are evaluated in secondary care (SC). The sensitivity and specificity of medical tests vary between primary care (PC) and SC settings. Objective: This study aims to identify factors explaining the variation in diagnostic test accuracy between PC and SC using three clinical examples.

Primary Care 130

Primary Care Utilities Clinic Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Using race to guide clinical decision-making is a controversial practice and efforts to revise medical equations incorporating race are underway. Context: The ASCVD risk calculator includes race as a variable in its risk estimation. Objective: We sought to explore how clinicians viewed the ASCVD risk calculator.

Primary Care Physician 130

Primary Care Physician Internal Medicine DO Family Medicine 130

Physician's Weekly

JUNE 19, 2025

Portable, Rapid, Low-Cost Testing According to the authors, the LIT system comprises a microprocessor-controlled device that utilizes an LCD user interface to control assay performance, automate assay analysis, and display results in a simple readout.

Diagnose 64

Diagnose Engineering Utilities Diagnosis 64

Logansport Memorial Hospital

MARCH 4, 2024

Together with the Pain Management Group (PMG), Logansport Memorial is dedicated to providing high-quality care right here in our community. We have a strong need for pain management services in our community and opening this clinic will allow our patients to have convenient access to high quality, safe treatment methods for chronic pain.”

Management 52

Management Patient-Centered Community Referral 52

Annals of Family Medicine

NOVEMBER 20, 2024

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. Our work builds a foundation for cost-effective workflows to support patients with multimorbidity.

Referral 130

Referral Chronic Condition Medical Chronic Disease 130

Barton Associates

MAY 8, 2025

Across the United States, tens of millions of Americans live in areas with shortage s of primary care, dental, and mental health professionals. Support continuity of care for patients with chronic conditions who require regular follow-ups. And there’s little sign of this issue slowing down any time soon—in fact, the U.S.

Medical Staff 52

Medical Staff Medical Patients Healthcare 52

Barton Associates

JUNE 19, 2025

In these complex and ever-changing environments, staffing challenges can quickly become a critical issue, impacting both patient care quality and operational efficiency. Ultimately, utilizing locum tenens providers as part of your modern healthcare staffing solutions will help ensure your patients get the care they deserve quickly.

Healthcare 52

Healthcare Healthcare Professional Provider Community 52

California Academy of Family Physicians (CAFP)

MAY 14, 2025

Elimination of (State-Only) Prospective Payment System Rates to Federally Qualified Health Centers and Rural Health Clinics for Undocumented Immigrants – Eliminates Prospective Payment System rates to clinics for state-only-funded services provided to undocumented Individuals.

Healthcare 130

Healthcare Family Physician Management Individual 130

Minnesota Academy of Family Physicians

FEBRUARY 20, 2025

Here are some ways family physicians can collaborate with health care systems and community organizations to tackle food insecurity within Minnesota: Expand Food Insecurity Screenings: Train staff to use tools like Hunger Vital Signs and integrate food insecurity screenings into routine care.

Family Physician 52

Family Physician Community Family Families 52

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 120

Screening Primary Care Patient-Centered IT 120

Aspiring Minority Doctor

APRIL 18, 2021

After extending your graduation date, the year can be utilized as a research year that can help you enhance your application and build further connections. In the urgent care setting, even though I work alone, I know I can always call on my colleagues for advice. This would require relocating and I am not aware of how much it pays.

GP 52

GP Medical Student Insurance General Practitioner 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: This is a retrospective observational study of primary care visits during the 2019-2022 study period. Outcome Measures: The outcomes were incident circulatory, endocrine, neurological, and respiratory diagnoses as measured in primary care using diagnosis codes. 95% CI 0.51, 0.7)

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: Identify patient, provider, and healthcare process and utilization factors associated with rates of secondary acceptance of the HPV vaccine. Existing research on secondary acceptance has focused on demographics and initial declination with little evidence around factors associated with increased rates of secondary acceptance.

Vaccination 130

Vaccination DO Family Medicine Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: 1) Demonstrate the feasibility of collecting data from prescription drug monitoring programs (PDMPs) for population health reporting, 2) analyze trends in PDMP and electronic health record patient data relative to CDC guidelines and 3) identify use of patient-centered measures for pain management in primary care.

Patients 130

Patients Patient-Centered Primary Care Electronics 130

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusions This study shows wide variation among HPV vaccine uptake among children and adolescents in a multi-state network of community-based clinics, with higher uptake in Latino patients, especially foreign-born Latinos. Dataset OCHIN electronic health record data from 27 US states.

Vaccination 130

Vaccination Community Clinic Screening 130